MARYLAND PROTON TREATMENT CENTER, LLC


Address: 850 W Baltimore St, Baltimore, MD 21201-1110
Phone: 4103695200

MARYLAND PROTON TREATMENT CENTER, LLC (NPI# 1255742375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255742375
Entity Type Organization
Organization Name MARYLAND PROTON TREATMENT CENTER, LLC
Other Organization Name MARYLAND PROTON TREATMENT CENTER
Practice Address 850 W Baltimore St
Baltimore
MD 21201-1110
Mailing Address Po Box 65034
Baltimore
MD 21264-5034
Practice Telephone 4103695200
Practice Fax Number 4103470870
Mailing Telephone 4107064919
Mailing Fax Number 4107066729
Enumeration Date 2014-05-12
Last Update Date 2020-02-25
Authorized Official Name SHAREEF MOSTAFA BATATA (CHIEF FINANCIAL OFFICER)
Authorized Official Telephone 4103695223
Is Organization Subpart Y
Parent Organization Name MARYLAND PROTON TREATMENT HOLDINGS, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
MM483 MD Ambulatory Health Care Facilities
N 261QX0203X Clinic/Center
Specialization: Oncology, Radiation
MM483 MD Ambulatory Health Care Facilities
Y 261Q00000X Clinic/Center MM483 MD Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Maryland Proton Treatment Center Doing Business As Name - Organization

Office Location

Street Address 850 W BALTIMORE ST
City BALTIMORE
State MD
Zip Code 21201-1110

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295796761 Robert Savary Malyapa Radiology 850 W Baltimore St, Baltimore, MD 21201-1110 2006-03-31
1477022168 Kelli Bethel Physical Therapist 850 W Baltimore St, Baltimore, MD 21201-1110 2018-11-26
1649757006 Ankur Markand Sharma Radiology 850 W Baltimore St, Baltimore, MD 21201-1110 2018-07-27
1356836977 Elizabeth Ann Parker Dietitian, Registered 850 W Baltimore St, Baltimore, MD 21201-1110 2018-06-26
1396006599 Arpit Chhabra Radiology 850 W Baltimore St, Baltimore, MD 21201-1110 2012-06-04
1295006567 Avani Dholakia Rao Radiology 850 W Baltimore St, Baltimore, MD 21201 2012-01-19
1225284383 Katarina Steacy Nurse Practitioner 850 W Baltimore St, Baltimore, MD 21201-1110 2008-08-08
1538109954 Michelle Marie Turner Nurse Practitioner 850 W Baltimore St, Baltimore, MD 21201-1110 2006-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518585470 Meshref Ayed Alshehri Student in an Organized Health Care Education/Training Program 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-07-08
1306462411 Michael Julian Wong Student in an Organized Health Care Education/Training Program University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 2020-06-24
1740817733 Martha Kaitlyn Coghlan Student in an Organized Health Care Education/Training Program Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 2020-03-27
1629606637 Taylor Renee Kai Student in an Organized Health Care Education/Training Program University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 2020-03-27
1295362697 Brittany A Oster Student in an Organized Health Care Education/Training Program 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 2020-03-25
1346877735 Kayvon Michael Mobarakeh Student in an Organized Health Care Education/Training Program University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 2020-03-25
1598392284 Zachary Allan Hagen Student in an Organized Health Care Education/Training Program 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 2020-03-24
1700430055 Jaime Semchuk Student in an Organized Health Care Education/Training Program 737 West Lombard, Baltimore, MD 21201 2019-07-25
1952861619 Zachary Daniel Sanford Student in an Organized Health Care Education/Training Program 22 S Greene Street S8b12, Baltimore, MD 21201 2019-03-20
1114487840 Spencer Sykes Lovegrove Student in an Organized Health Care Education/Training Program 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 2019-03-20
Find all providers in zip 21201

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891357919 Family Orthodontics of Maryland LLC Clinic/Center 2 Hamill Rd Ste 215, Baltimore, MD 21210-1886 2019-06-29
1366008179 Baltimore Acupuncture LLC Clinic/Center 1501 Sulgrave Ave Ste 310, Baltimore, MD 21209-3654 2019-05-16
1053875815 Anova Infusion Clinic/Center 111 S Calvert St Ste 2700, Baltimore, MD 21202-6143 2019-01-25
1891262135 Emerge Baltimore Inc. Clinic/Center 1803 Pennsylvania Ave, Baltimore, MD 21217-3235 2018-10-24
1992271902 Lifebridge Sports Medicine and Rehabilitation LLC Clinic/Center 8114 Sandpiper Cir Ste 114, Baltimore, MD 21236-5901 2018-10-17
1831671684 Farrell & Associates Clinic/Center 4201 Harcourt Rd, Baltimore, MD 21214-3409 2018-08-29
1023502838 Pikesville Pediatrics, LLC Clinic/Center 19 Walker Ave Ste 304, Baltimore, MD 21208-4067 2018-06-15
1740798412 Victory Medical Center Clinic/Center 1101 N Point Blvd Ste 110, Baltimore, MD 21224-3417 2018-01-17
1730612235 Concerted Care Group Brooklyn Clinic/Center 112 E Patapsco Ave, Baltimore, MD 21225-1745 2017-04-11
1659538437 Powell Recovery Institute Clinic/Center 16 S Broadway, Baltimore, MD 21231-1712 2008-05-20
Find all providers in BALTIMORE

Competitor

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City BALTIMORE
Zip Code 21201

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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